333 Morton Street
Bay City , Michigan 48706
Toll Free: 1-800-890-3010 Fax: 989-893-4801
Web Site: www.recrooms.com Email: info@recrooms.com

(Print this form and complete it to fax or mail your order.)

Bill To: Ship To:
Company Name:______________________________ Company Name:______________________________
Name:_______________________________________ Name:_______________________________________
Street Address:_______________________________ Street Address:_______________________________
City:_________________ State:______ Zip:________ City:_________________ State:______ Zip:________
Phone: ( ___)__________ Fax: ( ___)_____________ Phone: ( ___)_____________ Fax: ( ___)__________

 

Item # Product Description Qty Price Shipping
         
         
         
         
         
         
         
         
         
         
         
Price Sub Total______________
Payment Methods Mi. res add 6% sales tax______________
Shipping & Handling______________
Grand Total______________
We accept Mastercard, VISA, American Express, checks and money orders. Using a credit card or money order will expedite your order, paying by personal check will require processing before order can be shipped. Shipping & Handling
Charge To: ___VISA ___MC___AMEX
Please send checks or money orders via UPS / FedEx / Registered Mail to Recrooms.com.
Card # _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _
Verification Code: __ __ __  
Expiration: __ __ - __ __  
Name on Card:________________________
Authorized Sign._______________________
We will hold games until checks clear.

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